A client receiving an infusion of oxytocin (Pitocin) begins to experience sustained uterine contractions. What should the nurse do to help this client?
Standard Text: Select all that apply.
1. Stop the infusion.
2. Provide intravenous fluids as prescribed.
3. Position the client on her side.
4. Provide oxygen.
5. Place the client in the lithotomy position.
Correct Answer: 1,2,3
Rationale 1: In the event of sustained uterine contractions, the infusion should be immediately stopped.
Rationale 2: In the event of sustained uterine contractions, the client should have an infusion of intravenous fluids as prescribed.
Rationale 3: In the event of sustained uterine contractions, the client should be placed on her side.
Rationale 4: Oxygen may or may not be needed.
Rationale 5: This position is not to be used if the client experiences sustained uterine contractions.
Global Rationale: In the event of sustained uterine contractions, the infusion should be immediately stopped, an infusion of intravenous fluids started, and the client should be placed on her side. Oxygen may or may not be needed and the patient should not be placed in the lithotomy position.
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